Unknown Individual – Clinical Social Worker, NPI 1174663850

Unknown Individual is a healthcare provider. based in Cleveland hts, Ohio. specializing in Clinical Social Worker. They hold a License No. I0000653 (OH). The NPI Number for Unknown Individual is 1174663850

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1174663850
Phone
(216) 321-4309
Address
2707 DERBYSHIRE RD
Deactivation Date
31 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4404739042
Graduation Year
1978 (48 years ago)
PAC ID
9537176904
Professional Enrollment ID
I20060309000454
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 2707 DERBYSHIRE RD

    CLEVELAND HTS, OH 441063342

    Phone: (216) 321-4309

    Fax: (216) 321-4309

    Type: Mailing

  • 21625 CHAGRIN BLVD

    200

    BEACHWOOD, OH 441225363

    Phone: (440) 473-9042

    Fax: (216) 491-0155

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44106)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1174663850 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
How should patients interpret Unknown Individual's specialty?
The extract shows Clinical Social Worker for Unknown Individual. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Cleveland Hts, Ohio in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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